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BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1245112598
Clinic/Center - Primary Care in Gilbert, AZ

Active since July 25, 2025CLIA 03D2054031 · Microscopy
155 E WARNER RD, GILBERT, AZ 85296(480) 649-6600 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Primary Care Physicians Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI 1245112598) is a healthcare organization registered as a primary care in Gilbert, Arizona and active in the NPI registry since July 2025. The organization holds a CLIA Microscopy certificate valid through April 23, 2027 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245112598
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Location Address155 E WARNER RDGilbert, AZ 85296-3082
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(480) 649-6600
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1245112598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
155 E WARNER RD, Gilbert, AZ 85296
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2054031

Banner Primary Care Physicians Arizona LLC · Gilbert, AZ
Active · expires Apr 23, 2027
CLIA Number03D2054031
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorAaron Gomez
Laboratory Phone(480) 649-6600
Laboratory LocationBanner Primary Care Physicians Arizona LLC155 E Warner Rd, Gilbert, AZ 85296
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HADIL OWAYNAT DO
Internal Medicine
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
ARIN LAMOUREAUX FNP
Nurse Practitioner (Family)
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
ASHAY VAIDYA MD
Family Medicine (Adult Medicine)
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
JUSTIN WATKINS MD
Family Medicine
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
DEREK FRITZ DO
Family Medicine
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
DR. BRODERICK C HOWARD DO
Family Medicine (Sports Medicine)
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 543-6700
SUZANNE NIELSEN M.D.
Pediatrics
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600
WILLIAM EATON SMITH DO
Family Medicine
155 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 649-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Primary Care Physicians Arizona LLC's NPI number?

The NPI number for Banner Primary Care Physicians Arizona LLC is 1245112598. It was assigned to this organization in the NPPES registry on July 25, 2025.

Where is Banner Primary Care Physicians Arizona LLC located?

Banner Primary Care Physicians Arizona LLC is located at 155 E Warner Rd, Gilbert, AZ 85296. The listed phone number is (480) 649-6600.

What is Banner Primary Care Physicians Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Banner Primary Care Physicians Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2054031) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Primary Care Physicians Arizona LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.